Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship

AIMS: We assessed the relationship between specialist and non-specialist admissions for alcohol withdrawal since the introduction of the UK government Health and Social Care Act in 2012. METHODS: Using publicly available national data sets from 2009 to 2019, we compared the number of alcohol withdra...

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Detalles Bibliográficos
Autores principales: Phillips, Thomas, Huang, Chao, Roberts, Emmert, Drummond, Colin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Rapid Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768620/
https://www.ncbi.nlm.nih.gov/pubmed/32885812
http://dx.doi.org/10.1093/alcalc/agaa086
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author Phillips, Thomas
Huang, Chao
Roberts, Emmert
Drummond, Colin
author_facet Phillips, Thomas
Huang, Chao
Roberts, Emmert
Drummond, Colin
author_sort Phillips, Thomas
collection PubMed
description AIMS: We assessed the relationship between specialist and non-specialist admissions for alcohol withdrawal since the introduction of the UK government Health and Social Care Act in 2012. METHODS: Using publicly available national data sets from 2009 to 2019, we compared the number of alcohol withdrawal admissions and estimated costs in specialist and non-specialist treatment settings. RESULTS: A significant negative correlation providing strong evidence of an association was observed between the fall in specialist and rise in non-specialist admissions. Significant cost reductions within specialist services were displaced to non-specialist settings. CONCLUSIONS: The shift in demand from specialist to non-specialist alcohol admissions due to policy changes in England should be reversed by specialist workforce investment to improve outcomes. In the meantime, non-specialist services and staff must be resourced and equipped to meet the complex needs of these service users.
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spelling pubmed-77686202020-12-31 Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship Phillips, Thomas Huang, Chao Roberts, Emmert Drummond, Colin Alcohol Alcohol Rapid Communication AIMS: We assessed the relationship between specialist and non-specialist admissions for alcohol withdrawal since the introduction of the UK government Health and Social Care Act in 2012. METHODS: Using publicly available national data sets from 2009 to 2019, we compared the number of alcohol withdrawal admissions and estimated costs in specialist and non-specialist treatment settings. RESULTS: A significant negative correlation providing strong evidence of an association was observed between the fall in specialist and rise in non-specialist admissions. Significant cost reductions within specialist services were displaced to non-specialist settings. CONCLUSIONS: The shift in demand from specialist to non-specialist alcohol admissions due to policy changes in England should be reversed by specialist workforce investment to improve outcomes. In the meantime, non-specialist services and staff must be resourced and equipped to meet the complex needs of these service users. Oxford University Press 2020-09-04 /pmc/articles/PMC7768620/ /pubmed/32885812 http://dx.doi.org/10.1093/alcalc/agaa086 Text en © The Author(s) 2020. Medical Council on Alcohol and Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Rapid Communication
Phillips, Thomas
Huang, Chao
Roberts, Emmert
Drummond, Colin
Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship
title Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship
title_full Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship
title_fullStr Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship
title_full_unstemmed Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship
title_short Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship
title_sort specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in england: an inverse relationship
topic Rapid Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768620/
https://www.ncbi.nlm.nih.gov/pubmed/32885812
http://dx.doi.org/10.1093/alcalc/agaa086
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